Weaver, Brenda A

Weaver, Brenda A is an individual health care provider with primary practice located at 3225 Hedley Rd , Springfield IL 62711-6248. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Weaver, Brenda A can be contacted via phone (217) 726-7300.

Contact Information

Primary practice address
3225 Hedley Rd Springfield IL 62711-6248
Phone: (217) 726-7300
Fax: (217) 726-5989
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 041430460 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 209025209 Illinois

Profile Details

NPI number 1831849579
LBN Legal business name Weaver, Brenda A
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2022
Last updated Apr 26th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831849579 NPPES
Illinois Other 041430460 RN

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